Satisfaction of Mortgage

KNOW ALL MEN BY THESE PRESENTS,
that

DO(ES) HEREBY CERTIFY that the following mortgage IS PAID, and do(es) hereby consent that the same be discharged of record.

Mortgage dated the _____ day of _________ , 19 ____ , made by ____________________ to

___________________ in the principal sum of $ _____________ and recorded in Reel/Liber ______ of

Mortgages, page _______ in the office of the __________ of the _________________

which mortgage has not been assigned of record.

Dated the ____ day of _________ , 19 ____ .

In presence of:

[Add Signature Lines and Acknowledgments]

Standard N.Y.B.T.U. Form 8033